Susan Henry Blackburn in Sarasota - Clinical
Susan Henry Blackburn - NPI 1073522553
Susan Henry Blackburn is a Clinical in Sarasota, Florida. Susan Henry Blackburn practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Henry Blackburn is 1073522553. The last update date is 2023-05-19.
Susan Henry Blackburn's current location address is 7550 Shadow Glen Ln, Sarasota, Florida. You can contact this provider via phone number 9413763472. The mailing address for Susan Henry Blackburn is 7550 Shadow Glen Ln, Sarasota, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Henry Blackburn |
|---|---|
| Address | 7550 Shadow Glen Ln, Sarasota, Florida |
| Phone Number | 9413763472 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1073522553 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2023-05-19 |
Provider Mailing Address Detail
| Address | 7550 Shadow Glen Ln |
|---|---|
| City | Sarasota |
| State | Florida (FL) |
| Post Code | 342412303 |
| Phone Number | 9413763472 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1719 |
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Post Comment/ Review Below
What is the unique identifier code issued to Susan Henry Blackburn by the Centers for Medicare & Medicaid Services (CMS)?
The Susan Henry Blackburn has been assigned the NPI (National Provider Identifier) 1073522553. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Susan Henry Blackburn's physical address?
The Susan Henry Blackburn is physically located at 7550 Shadow Glen Ln, in the city of Sarasota, FL, with the postal code 342412303.
What is Susan Henry Blackburn's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Susan Henry Blackburn's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1073522553 to Susan Henry Blackburn?
The Centers for Medicare & Medicaid Services originally issued the 1073522553 to Susan Henry Blackburn on 2006-08-05.
As of what date were the details related to Susan Henry Blackburn most recently updated or revised?
The information pertaining to Susan Henry Blackburn, including its address, specialty, and other relevant details, was last updated or revised on 2023-05-19.